The document provides information about an upcoming webinar on colorectal cancer hosted by Fight Colorectal Cancer. The webinar will feature Dr. Edward Crane discussing various topics related to colorectal cancer including symptoms, risk factors, staging, treatment options and support services available to patients. Participants are encouraged to ask questions during the webinar and will receive a survey to provide feedback on the presentation.

1. Welcome!
Colorectal Cancer
Newly Diagnosed: Where to go from here…
Part of Fight Colorectal Cancer’s Monthly Patient Webinar Series
Our webinar will begin shortly
www.FightColorectalCancer.org
877-427-2111

2. Fight Colorectal Cancer
1. Tonight’s speaker: Dr. Edward Crane, MD
2. Archived webinars: Link.FightCRC.org/Webinars
3. Follow up survey to come via email. Get a free Blue Star of
Hope pin when you tell us how we did tonight.
4. Ask a question in the panel on the right side of your screen and
look for hyperlinks during throughout the presentation.
5. Or call the Fight Colorectal Cancer Answer Line at 877-427-2111
www.FightColorectalCancer.org
877-427-2111

3. Fight Colorectal Cancer
Disclaimer
The information and services provided by Fight Colorectal
Cancer are for general informational purposes only.
The information and services are not intended to be substitutes
for professional medical advice, diagnosis, or treatment.
If you are ill, or suspect that you are ill, see a doctor
immediately. In an emergency, call 911 or go to the nearest
emergency room.
Fight Colorectal Cancer never recommends or endorses any
specific physicians, products or treatments for any condition.
www.FightColorectalCancer.org
877-427-2111

4. Fight Colorectal Cancer
Up coming webinars
Research and Treatment News:
Highlights from the 2014 Gastrointestinal Symposium
Wednesday, February 19th 2014
4:00pm – 5:00pm EDT
Take the Wheel:
Healthy lifestyle changes that may reduce your risk of a
CRC recurrence
Wednesday, March 26th 2014
3:00pm - 4:00pm EDT

5. Fight Colorectal Cancer
Dr. Edward Crane, MD
“Good listening is the key to taking excellent care of patients. I
always tell my patients that he or she is the captain of the ship
and my job is to help with navigation”…
www.FightColorectalCancer.org
877-427-2111

6. January 22, 2014

7. The Presenter: Dr. Ed Crane
 Board certified in medical





hematology, medical oncology,
internal medicine and palliative
care
OHC physician
www.OHCare.com
Trained in oncology and
hematology at Moffitt Cancer
Center in Tampa, FL
Chair of the cancer program at
West Chester and Mercy
Fairfield Hospitals
Enjoys exercising and spending
time with family in spare time

8. What is the colon?
 Last part of the digestive
system
 Extracts water, sodium and
some fat soluble vitamins
 Approximately 5 feet in
length

9. How does a cancer form in the
colon?
 Most colon cancers begin as a
polyp
 The whole process may take
5-10 years
 As the polyps grow, they can
develop cancerous cells that
then multiply to become a
tumor
 Some cancers in a genetic
cancer syndrome can bypass
the polyp phase

10. How is colon cancer staged?
 Stage I very superficial with
minimal invasion
 Stage II through most if not all
of the layers of the colon but no
lymph node involvement
 Stage III lymph node
involvement but has not
travelled away from the colon
 Stage IV travelled away from the
colon

11. Colon Cancer Incidence
 Over 100,000/year diagnosed with colon cancer in the
United States
 Over 40,000/year diagnosed with rectal cancer
 Average age is in the 60’s but I have treated patients
from 28-90

12. Risk Factors
 Colon polyps
 Family history
 Inflammatory bowel diseases (Ulcerative Colitis or
Crohn’s Disease)
 Type II diabetes
 Red meats and processed meats
 Smoking

13. Hereditary Cancer Syndromes
 HNPCC- Hereditary Non-Polyposis Colorectal Cancer
 Accounts for 3% of all colon cancer
 Age less than 50 or strong family history
 Tends to be right sided colon cancer but not always
 Skips the polyp step in cancer formation
 Those with the gene have an 80% chance of developing colon
cancer
 Risk of uterine cancer
 Familial Adenomatous Polyposis
 Hundreds of polyps throughout colon and rectum
 100% chance of one becoming cancer before age 40 if not
removed

14. What is the most important aspect of care when
a patient is diagnosed with colon cancer?
The
Patient!

15. Positive Quote
Sedona, AZ
 “You yourself, as much as
anybody in the entire
universe, deserve your love
and affection.” – Buddha

16. What do you need as a patient?
 A team of doctors that communicate
 What does it mean to have multidisciplinary clinics?
 Gastroenterologist
 Medical Oncologist
 Who helps the physicians?
 Treatment nurses/treatment suite
 Proximity of office
 Personality/Professionalism/Bedside manner
 Availability of clinical trials
 Surgeon: Importance of colorectal fellowship?
 Laparascopic trained?
 Complication rates/average length of stay in the hospital
 Radiation oncologist

17. Other Support Services












Support Groups
Cancer Support Community
Cancer Family Care
American Cancer Society
Physical Therapy/Dietary at local hospital
Exercise groups at local Y
Personal Trainer
Friends and Family
www.clinicaltrials.gov
www.nccn.org for patients tab
www.OHCare.com
www.FightColorectalCancer.org

18. http://www.nccn.org/patients/guidelines/colon/index.html#1

19. Important Issues to Keep in Mind
 A patient is not a diagnosis
 A patient is not a statistic
 There is a certain social undertone to having been
diagnosed with cancer
 There is nothing wrong with you as a person
 You do not have to let it dominate your life or
conversation unless you need it to be that way

20. Half Dome viewed from Glacier
Point, Yosemite National Park
 Surround yourself with
people who are going to lift
you higher

21. Treatment for Colon Cancer
 It depends upon the stage
 A standard treatment after surgery for stage III and some
stage II colon cancers is FOLFOX
 Given every 2 weeks and requires a home infusion pump





Diarrhea and mouth sores
Numbness and tingling
Cold sensitivity
Fatigue and increased risk of infection
Chemobrain
 Xeloda, a pill, can be used as treatment, too.
 Utilized when side effects of FOLFOX might be too harsh for
the patient

22. Treatment for Colon Cancer
 For stage IV cancers, Avastin is usually added to the
chemotherapy
 Multiple treatment option including FOLFIRI, Xeloda,
Cetuximab, Panitumumab, Regorafenib
 May have surgery or radiation, as well
 A few stage IV cancer still have the opportunity for
cure, determined by the number and size of tumors in
the liver, if they are localized to only one lobe, and if
they reduce significantly in size with chemotherapy

23. Treatment for Rectal Cancers
 Combined chemotherapy (infusion Mon-Fri) or
Xeloda with radiation
 Surgery
 Further chemotherapy either FOLFOX or Xeloda

24. On the Horizon
Somewhere in the Caribbean
 Personalized Medicine
 Determining aspects of the
tumor that create sensitivity
or resistance to certain
treatments
 Oncotype DX testing to
determine who might benefit
from adjuvant chemotherapy
 Prevention through improved
screening

25. Questions?
Mariposa Grove, Yosemite
National Park
 No question is too big or too
small
 If you have further questions
later after the talk, I can be
e-mailed from our website:
www.OHCare.com

27. Fight Colorectal Cancer
CONTACT US
Fight Colorectal Cancer
1414 Prince Street, Suite 204
Alexandria, VA 22314
(703) 548-1225
Toll-Free Answer Line: 1-877-427-2111
www.FightColorectalCancer.org
Email us: Info@FightColorectalCancer.org